| NPI | 1326251455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X (Licence: NY N006220-1) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103300979) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2011-02-23 |